Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Marie Brunner, PA-C

Individual provider Physician Assistant · NPI 1497063291

Carolyn Marie Brunner, PA-C is a Physician Assistant in Saint Louis, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2010.

Licensed in
IL, MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone: (314) 652-4100
Fax: (314) 289-7648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2012042176 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 085003859 (IL)

Record details

NPI number1497063291
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 15, 2010
Last updated in NPPESOctober 27, 2014

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